Cory Aden-Wansbury in Medford - Prison Health
Cory Aden-Wansbury - NPI 1033145578
Cory Aden-Wansbury is a Prison Health in Medford, Oregon. Cory Aden-Wansbury practices all healthcare services and medical treatments related to Prison Health. The NPI Number for Cory Aden-Wansbury is 1033145578. The last update date is 2008-08-15.
Cory Aden-Wansbury's current location address is 6151 Dark Hollow Rd, Medford, Oregon. You can contact this provider via phone number 5415128814. The mailing address for Cory Aden-Wansbury is 6151 Dark Hollow Rd, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cory Aden-Wansbury |
|---|---|
| Address | 6151 Dark Hollow Rd, Medford, Oregon |
| Phone Number | 5415128814 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1033145578 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2008-08-15 |
Provider Mailing Address Detail
| Address | 6151 Dark Hollow Rd |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975014866 |
| Phone Number | 5415128814 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prison Health |
|---|---|
| Taxonomy | 261Qp2400X |
| Licence No | MD23944 |
|
Definition: Provides basic medical, dental and mental health services to prison inmates. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G227300 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Cory Aden-Wansbury by the Centers for Medicare & Medicaid Services?
The Cory Aden-Wansbury has been assigned the NPI (National Provider Identifier) 1033145578. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Cory Aden-Wansbury?
The Cory Aden-Wansbury is situated at 6151 Dark Hollow Rd, in the city of Medford, state of OR, with the zip code 975014866.
What is Cory Aden-Wansbury's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Cory Aden-Wansbury is Prison Health, and the taxonomy classification code that categorizes this area of expertise is 261Qp2400X.
On what date was the 1033145578 assigned to Cory Aden-Wansbury?
The Cory Aden-Wansbury was issued its 1033145578 on 2006-06-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Cory Aden-Wansbury, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Cory Aden-Wansbury, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-15.